3 Flashcards
How is and where is AF most commonly intiated
aberrant electrical impulses most often from pulmonary veins
Rate of contraction in A-Fib is determined by?
AV node refractory period
HR in AF= 90-170 usually
What determines the duration of QRS?
Bundle branch conductivity…thus bundle branch block = widened QRS
Brain injury timeline
1) Red Neuron and neutrophils (24-48 hours)
2) Microglia (3-5 days)
3) Gliosis, cystic space surrounded by astrocytes (2 wks)
Spleen embryologic orgin
Mesoderm of dorsal mesentery
However: blood supply is from splenic artery (foregut)
Segmentation allows for…
Reassortment (BOAR)
Irregular R-R, narrow QRS, absent P-waves
A-fib
Periodontitis (often necrotizing) can be seen in what autosomal recessive disorder
LAD (absence of CD18)
Infection following live vaccine
T-cell mediated immunity deficiencies (SCID and HIV for example)
Wiskott Aldrich
Deficient cytoskeleton
Anesthetics with high tissue solubility are characterized by large arteriovenous concentration gradients and _______ onset of action
slower
Tropocollagen monomers self-assemble into collagen fibril and are cross linked by
lysyl oxidase
Defect in post translation hydroxylation in RER leading to decreased triple helix stability of collagen
Scurvy
what are the two components of advanced directives?
Living will and health care proxy (proxy must follow patients living will)
microhemaggluttination assay-TP and FTA-ABS for T. pallidium remain positive for life. Track therapy with
VDRL and RPR
shallow painful genital ulceration (chancroid) with regional LAD. Medium with hematin (X factor) useful in culture.
Haemophilus Ducreyi
Nucleus in hypothalamus that monitors blood glucose
Ventromedial (VMN)
Hypothalamic tumors in child
gliomas